Laserfiche WebLink
ACC-01 CBC 2016 <br />A. PURPOSE OF THIS DOCUMENTATION: (check one) <br />K Finding of unreasonable hardship for projects UNDER the valuation threshold* <br />! Finding of unreasonable hardship for projects OVER the valuation threshold* <br />E Certification of Full Compliance wlth the 2016 California Building Code <br />* Valuation threshold as defined in the 2016 California Building Code, Section 1'l 8-202.4 (Exception #8) and <br />Section 202 is $l!!;!!! (as of January 2017) <br />B. PROJECT INFORMATION TO BE COMPLETED BY PETITIONER: <br />Proiect Address: <br />/02,+ 5 tLloi,r q Permil Number: <br />t ?/??8+{ <br />' Project D6scription7l t{z/Lsa a'R ?aY lor Floor (uniber: <br />Bt:Siness Nanie / 6wner: U I <br />Ha41>1rl-,./azL,.h-zz14d,1L <br />Business Phone Number: <br />Leg'at e6p6rty 60vner: - e (U Phone Number: <br />l6>btr7{- ot}-> <br />Total Construction Cost or Project Valuation <br />$ 2o, , eOo <br />Cost ot Providing Complete Disabled Access <br />$ Ffro" <br />1. The cost of all construction contemplated in the determination of the valuation of improvement <br />threshold based on the valuation of site and building improvements for the last three-year period. <br />Permit No lssuance Date Valuation of lmprovements <br />Total: <br />$P,, <br />o(, <br />_tr <br />(A <br />-t <br />F <br />n+2. 20o/o of Tolal Construction Cost or Project Valuation: <br />3. The actual amount to be spent to provide disabled access <br />4. Describe the impact of the proposed improvements on financial feasibility of the proJect <br />s F'l-"" <br />CM*SNIA <br />NA <br />lL{\\l\[ <br />& BIIIJIIC <br />lCNCI <br />Planning & Building Agency <br />Building Safety Division <br />20 Civic Center Plaza <br />P.O. Box 1988 (M-19) <br />santa Ana, cA 92702 <br />(714) 647-s800 <br />www.santa-ana.org <br />DISABLED ACCESS COMPLIANCE <br />DOCUMENTATION FORM <br />I <br />o) <br />tt?"< <br />5. Describe the nature of the use of the facility under construction and its availability to persons with <br />disabilities and the nature of accessibility that would be gained or lost: <br />Rev: 11912017 Page 1 of 2 <br />(e 'Pir/19 t ,J,LI <br />I